Kaitlyn Gannon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

41443 Issued in TN

Practice address

2339 Newport Hwy
Sevierville, TN 37876-2057

Phone

(865) 908-8695

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • Sevierville, TN
  • NPI 1952814774
  NPD
• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • Huntsville, AL
  • NPI 1245038512
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1407450273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 HOUSEHOLDER ST APT 323",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 NEWPORT HWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378762057",
            "telephone_number": "865-908-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "KAITLYN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas B Freels, M.D.
• Whitney Brooke Freeman, MSSW
• G Stephen Ollard DDS, PLLC
• Virginia Galentine, NURSE AID
• Joshua Michael Gallimore, MBA, ATC
• Bianca Nathalia Garcia, DDS
• David W Gary, DMD
• Malynda Gibson, FNP-C
• Shirely Gibson, NP
• Tina Spivey Gibson

• Pharmacist in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.